Individual provider Active NPI

Andrea Jean Galasso, D.O.

  • Internal Medicine Physician
  • Londonderry, NH
National Provider Identifier
1942462007
Registry record updated May 8, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
16477 Issued in NH
Practice address
40 Buttrick Rd
Elliot Internal Medicine at Londonderry
Londonderry, NH 03053-3381
Phone
(603) 434-1919
Fax
(603) 434-7346
NPI assigned
Jun 30, 2008
Last updated
May 8, 2014By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 8, 2014

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 8

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X 242853 NY
Internal Medicine Physician 207R00000X 032.0047319 VT
Geriatric Medicine (Internal Medicine) Physician 207RG0300X 032.0047319 VT
Geriatric Medicine (Internal Medicine) Physician 207RG0300X 242853 NY
Hospitalist Physician 208M00000X 032.0047319 VT
Hospitalist Physician 208M00000X 242853 NY
Internal Medicine Physician 207R00000X 16477 NH Primary
Geriatric Medicine (Internal Medicine) Physician 207RG0300X 16477 NH

Addresses

Primary practice location

40 Buttrick Rd
Elliot Internal Medicine at Londonderry
Londonderry, NH 03053-3381

Mailing address

40 Buttrick Rd
Elliot Internal Medicine at Londonderry
Londonderry, NH 03053-3381
Phone (603) 434-1919

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NH
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20140414001481 NH Practitioner - Internal MedicinePractitioner - Geriatric Medicine 8426102088 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Internal MedicineAlso: Geriatric Medicine
Education
New York College of Osteo Medicine of New York Institute of Technology, 2005
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Elliot Physicians NetworkGroup PAC ID 6406743988, 78 clinicians

Practice addresses (Care Compare)

275 Mammoth Rd
Manchester, NH 03109-4133

40 Butrrick Rd
Londonderry, NH 03053-3381
Phone (603) 434-1919

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Osteopathy

State licenses

LicenseStateTypeSpecialty
242853NYMDInternal Medicine Physician
032.0047319VTMDInternal Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Elliot Physicians Network Internal Medicine CurrentSince Mar 31, 2014 Accepting new patients
Elliot Physicians Network Internal Medicine Past Accepting new patients

Locations

25 S River Rd
Bedford, NH 03110
Phone (603) 626-4392

40 Buttrick Rd
Londonderry, NH 03053
Phone (603) 552-1400

40 Buttrick Rd
#B
Londonderry, NH 03053

40 Buttrick Rd
Ste 105
Londonderry, NH 03053

40 Buttrick Rd
Unit 1
Londonderry, NH 03053

275 Mammoth Rd
Ste 1
Manchester, NH 03109
Phone (603) 663-3222

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

Hospital & facility affiliations 7

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1214784000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1399507200000",
    "number": "1942462007",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "40 BUTTRICK RD",
            "address_2": "ELLIOT INTERNAL MEDICINE AT LONDONDERRY",
            "city": "LONDONDERRY",
            "state": "NH",
            "postal_code": "030533381",
            "telephone_number": "603-434-1919",
            "fax_number": "603-434-7346"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "40 BUTTRICK RD",
            "address_2": "ELLIOT INTERNAL MEDICINE AT LONDONDERRY",
            "city": "LONDONDERRY",
            "state": "NH",
            "postal_code": "030533381",
            "telephone_number": "603-434-1919",
            "fax_number": "603-434-7346"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GALASSO",
        "first_name": "ANDREA",
        "middle_name": "JEAN",
        "name_prefix": "Dr.",
        "credential": "D.O.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2008-06-30",
        "last_updated": "2014-05-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "NY",
            "license": "242853",
            "primary": false
        },
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "VT",
            "license": "032.0047319",
            "primary": false
        },
        {
            "code": "207RG0300X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Geriatric Medicine",
            "state": "VT",
            "license": "032.0047319",
            "primary": false
        },
        {
            "code": "207RG0300X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Geriatric Medicine",
            "state": "NY",
            "license": "242853",
            "primary": false
        },
        {
            "code": "208M00000X",
            "taxonomy_group": "",
            "desc": "Hospitalist",
            "state": "VT",
            "license": "032.0047319",
            "primary": false
        },
        {
            "code": "208M00000X",
            "taxonomy_group": "",
            "desc": "Hospitalist",
            "state": "NY",
            "license": "242853",
            "primary": false
        },
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "NH",
            "license": "16477",
            "primary": true
        },
        {
            "code": "207RG0300X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Geriatric Medicine",
            "state": "NH",
            "license": "16477",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Londonderry, NH

Sources for this page

Verify at the official NPI Registry.